How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $954.99 Median $1,445.44 Typical High $5,370.32 | Facility | None | $954.99 | $1,445.44 | $5,370.32 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,479.11 | Professional | None | $954.99 | $954.99 | $1,479.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $4,265.80 | Professional | None | $1,445.44 | $1,445.44 | $4,265.80 |
Cigna Setting Facility Modifier None Typical Low $1,905.46 Median $2,818.38 Typical High $7,079.46 | Facility | None | $1,905.46 | $2,818.38 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $9,332.54 Median $9,332.54 Typical High $9,332.54 | Professional | None | $9,332.54 | $9,332.54 | $9,332.54 |
Emblem Health Setting Facility Modifier None Typical Low $1,949.84 Median $3,235.94 Typical High $7,079.46 | Facility | None | $1,949.84 | $3,235.94 | $7,079.46 |
Emblem Health Setting Professional Modifier None Typical Low $1,949.84 Median $2,344.23 Typical High $3,630.78 | Professional | None | $1,949.84 | $2,344.23 | $3,630.78 |
Excellus BCBS Setting Professional Modifier None Typical Low $1,288.25 Median $1,949.84 Typical High $2,137.96 | Professional | None | $1,288.25 | $1,949.84 | $2,137.96 |
MVP Health Care Setting Facility Modifier None Typical Low $1,949.84 Median $3,548.13 Typical High $10,232.93 | Facility | None | $1,949.84 | $3,548.13 | $10,232.93 |
MVP Health Care Setting Professional Modifier None Typical Low $1,148.15 Median $1,318.26 Typical High $3,630.78 | Professional | None | $1,148.15 | $1,318.26 | $3,630.78 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $1,949.84 Typical High $2,454.71 | Facility | None | $1,737.80 | $1,949.84 | $2,454.71 |
United Setting Professional Modifier None Typical Low $741.31 Median $954.99 Typical High $2,630.27 | Professional | None | $741.31 | $954.99 | $2,630.27 |
Univera Setting Facility Modifier None Typical Low $1,288.25 Median $1,778.28 Typical High $2,238.72 | Facility | None | $1,288.25 | $1,778.28 | $2,238.72 |
Univera Setting Professional Modifier None Typical Low $1,202.26 Median $1,862.09 Typical High $2,137.96 | Professional | None | $1,202.26 | $1,862.09 | $2,137.96 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $478.63 Median $478.63 Typical High $741.31 | Professional | 52 · Reduced service | $478.63 | $478.63 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $295.12 | Professional | 53 · Discontinued | $190.55 | $190.55 | $295.12 |
Where New York sits
The same service costs 154.9 times more in Texas than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
New York· 35th of 51
$1,445
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.